Each rescuer should experience each position at least twice. In other words, you run the drill, stop and switch, run the drill, stop and switch. This drill is very well received by EMTs and paramedics! It’s fun to watch the performance improve over time.

That’s what it’s all about — perfecting resuscitation!

In a perfect world you would use an instrumented manikin to measure rate, depth, recoil; and volume of air when you squeeze the bag.

The Resuscitation Academy uses Laerdal‘s Resusci Anne QCPR AED Torso with Shock Link and SimPad in each “pod” of 6 rescuers. Each setup retails for about $6,000.00. I like how this particular setup “feels”. We have several different manikins and the more “advanced” ones don’t feel quite right when performing chest compressions.

Once High Performance CPR is up and running we allow two additional rescuers to arrive on scene so we can establish IV/IO access and give epinephrine. We teach our teams to defer advanced airway management for the first 5 cycles unless it’s absolutely necessary (e.g., asphyxial arrest, unable to ventilate, need to protect airway).

Position 1

Places monitor at 45 degree angle to left shoulder (monitor can be set back a few feet from working area)

Checks pulse and announces “no pulse, begin CPR”

Attaches capnography circuit to monitor

Extends pads and coordinates placement with rescuer on chest compressions

Ken Grauer58 Year Old Male, Workout Worry@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24

Vince DiGiulioIs epinephrine harmful in cardiogenic shock?Sorry about that; I copied the quote from the article and my browser automatically changed the "μ" to an "m". Thanks for noticing, and thanks for pointing it out in the most passive-aggressive manner possible.
2018-09-12 16:45:26

Ken Grauer, MDElectrocardiographically Silent High Lateral STEMI EquivalentHi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03

Eli58 Year Old Male, Workout WorryAnybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21